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IL299376A - Pertuzuniab plus trastuzumab fixed dose combination - Google Patents

Pertuzuniab plus trastuzumab fixed dose combination

Info

Publication number
IL299376A
IL299376A IL299376A IL29937622A IL299376A IL 299376 A IL299376 A IL 299376A IL 299376 A IL299376 A IL 299376A IL 29937622 A IL29937622 A IL 29937622A IL 299376 A IL299376 A IL 299376A
Authority
IL
Israel
Prior art keywords
fdc
patient
pertuzumab
trastuzumab
administering
Prior art date
Application number
IL299376A
Other languages
Hebrew (he)
Original Assignee
Genentech Inc
Hoffmann La Roche
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Genentech Inc, Hoffmann La Roche filed Critical Genentech Inc
Publication of IL299376A publication Critical patent/IL299376A/en

Links

Classifications

    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K16/00Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
    • C07K16/18Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans
    • C07K16/32Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against translation products of oncogenes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/30Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
    • A61K47/42Proteins; Polypeptides; Degradation products thereof; Derivatives thereof, e.g. albumin, gelatin or zein
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
    • CCHEMISTRY; METALLURGY
    • C12BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12NMICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA
    • C12N9/00Enzymes; Proenzymes; Compositions thereof; Processes for preparing, activating, inhibiting, separating or purifying enzymes
    • C12N9/14Hydrolases (3)
    • C12N9/24Hydrolases (3) acting on glycosyl compounds (3.2)
    • C12N9/2402Hydrolases (3) acting on glycosyl compounds (3.2) hydrolysing O- and S- glycosyl compounds (3.2.1)
    • C12N9/2474Hyaluronoglucosaminidase (3.2.1.35), i.e. hyaluronidase
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/505Medicinal preparations containing antigens or antibodies comprising antibodies
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/505Medicinal preparations containing antigens or antibodies comprising antibodies
    • A61K2039/507Comprising a combination of two or more separate antibodies
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/54Medicinal preparations containing antigens or antibodies characterised by the route of administration
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/545Medicinal preparations containing antigens or antibodies characterised by the dose, timing or administration schedule
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K2300/00Mixtures or combinations of active ingredients, wherein at least one active ingredient is fully defined in groups A61K31/00 - A61K41/00
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00Medicinal preparations containing peptides
    • CCHEMISTRY; METALLURGY
    • C12BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12YENZYMES
    • C12Y302/00Hydrolases acting on glycosyl compounds, i.e. glycosylases (3.2)
    • C12Y302/01Glycosidases, i.e. enzymes hydrolysing O- and S-glycosyl compounds (3.2.1)
    • C12Y302/01035Hyaluronoglucosaminidase (3.2.1.35), i.e. hyaluronidase

Landscapes

  • Health & Medical Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Organic Chemistry (AREA)
  • General Health & Medical Sciences (AREA)
  • Genetics & Genomics (AREA)
  • Medicinal Chemistry (AREA)
  • Biochemistry (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Engineering & Computer Science (AREA)
  • Wood Science & Technology (AREA)
  • Zoology (AREA)
  • Molecular Biology (AREA)
  • Proteomics, Peptides & Aminoacids (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • General Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Immunology (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Oncology (AREA)
  • Biophysics (AREA)
  • Microbiology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biomedical Technology (AREA)
  • Biotechnology (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • General Chemical & Material Sciences (AREA)
  • Epidemiology (AREA)
  • Inorganic Chemistry (AREA)
  • Medicines Containing Antibodies Or Antigens For Use As Internal Diagnostic Agents (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
  • Peptides Or Proteins (AREA)
  • Enzymes And Modification Thereof (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Medicinal Preparation (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Cephalosporin Compounds (AREA)

Claims (38)

1. PATENT Attorney Docket No. P36105-WO
2. WHAT IS CLAIMED IS: 1. A method of treating HER2-positive cancer in a patient comprising administering a loading dose of a fixed dose combination (FDC) of pertuzumab, trastuzumab, and recombinant human hyaluronidase (rHuPH20) by subcutaneous injection in a thigh of the patient with a subcutaneous administration device at a rate of about 2 mL/min over about minutes. 2. The method of claim 1, wherein the loading dose FDC comprises 1200 mg pertuzumab, 600 mg trastuzumab, and 30,000 units of rHuPH20.
3. The method of claim 1 or claim 2, wherein the volume for the loading dose FDC is 15 mL.
4. The method of any one of the preceding claims, wherein the loading dose FDC comprises 1200 mg pertuzumab at a concentration of 80 mg/mL, 600 mg trastuzumab at a concentration of 40 mg/mL, 2000 U/mL rHuPH20, 20 mM His-HCl pH 5.5, 70 mM trehalose, 133 mM sucrose, 0.04% polysorbate 20, and 10 mM methionine.
5. The method of any one of the preceding claims, wherein administration of the loading dose FDC is followed by an about 30 minute observation period.
6. The method of any one of the preceding claims, further comprising administering maintenance doses of FDC in a thigh of the patient at a rate of about 2 mL/min over about minutes.
7. The method of claim 6, wherein the maintenance dose FDC comprises 600 mg pertuzumab, 600 mg trastuzumab, and 20,000 units of rHuPH20.
8. The method of claim 6 of claim 7, wherein the volume for the maintenance dose FDC is mL.
9. The method of any one of claims 6 to 8, wherein the maintenance dose FDC comprises 600 mg pertuzumab at a concentration of 60 mg/mL, 600 mg trastuzumab at a concentration of 60 mg/mL, 2000 U/mL rHuPH20, 20 mM His-HCl pH 5.5, 105 mM trehalose, 100 mM sucrose, 0.04% polysorbate 20, and 10 mM methionine.
10. The method of any one of claim 6 to 9, wherein each maintenance dose is followed by an about 15 minute observation period, and wherein the loading dose was well tolerated.
11. The method of any one of the preceding claims, wherein the subcutaneous administration device is a hand-held syringe.
12. The method of claim 11, wherein the syringe comprises a 25G-27G hypodermic injection needle.
13. The method of any one of the preceding claims, wherein the HER2-positive cancer is breast cancer.
14. The method of any one of the preceding claims, wherein the breast cancer is early breast cancer (EBC). Attorney Docket No. P36105-WO
15. The method of claim 14, wherein the FDC is used for neoadjuvant or adjuvant therapy of the EBC.
16. The method of claim 13, wherein the breast cancer is metastatic breast cancer (MBC).
17. The method of any one of claims 1 to 13, wherein the FDC is used for: a. neoadjuvant treatment of adult patients with HER2-positive, locally advanced, inflammatory, or early stage breast cancer (either greater than 2 cm in diameter or node positive) as part of a complete treatment regimen for early breast cancer; b. adjuvant treatment of adult patients with HER2-positive early breast cancer at high risk of recurrence; or c. in combination with docetaxel for the treatment of adult patients with HER2-positive metastatic breast cancer who have not received prior anti-HER2 therapy or chemotherapy for metastatic disease.
18. The method of any one of the preceding claims, comprising: a. administering the FDC to the patient; b. monitoring the patient for hypersensitivity symptoms or injection-related reaction; and c. slowing down or pausing the injection, wherein the patient has a significant injection-related reaction or permanently discontinuing the FDC if the patient experiences anaphylaxis or has a severe injection-related reaction.
19. The method of any one of the preceding claims, comprising pre-medicating the patient prior to administering the FDC with an analgesic, antipyretic, or antihistamine, wherein a Grade 1 or Grade 2 hypersensitivity reaction has occurred with a prior administration of the FDC.
20. The method of any one of the preceding claims, comprising alternating the subcutaneous injection site for each administration of the FDC between a left and right thigh of the patient.
21. A method of neoadjuvant therapy of HER2-positive early breast cancer patients comprising: a. administering a fixed dose combination (FDC) of pertuzumab, trastuzumab, and recombinant human hyaluronidase (rHuPH20) by subcutaneous injection to the patients; and b. measuring treatment-emergent anti-pertuzumab, anti-trastuzumab, and anti-recombinant human hyaluronidase PH20 antibodies in the patients, wherein treatment-emergent antibodies occur in ≤ about 10% of the patients.
22. The method of claim 21, wherein treatment-emergent anti-pertuzumab, anti-trastuzumab, and anti-recombinant rHuPH20 antibodies occur in about 4.8%, 0.9%, and 0.9% of the patients, respectively. Attorney Docket No. P36105-WO
23. The method of claim 21 or claim 22, further comprising measuring whether any treatment-emergent antibodies neutralize pertuzumab’s, trastuzumabs, and/or rHuPH20’s activity.
24. A method of neoadjuvant therapy of HER2-positive early breast cancer comprising administering a pertuzumab plus trastuzumab fixed dose combination (FDC) and chemotherapy to the patient.
25. The method of claim 24, which achieves a pathological complete response (pCR) of about 60%.
26. The method of claim 24 or claim 25, wherein the chemotherapy comprises anthracycline and taxane.
27. The method of claim 26, wherein the FDC is administered following completion of the anthracycline and the taxane is administered after the FDC is administered.
28. The method of any one of claims 24 to 27, wherein the chemotherapy comprises dose dense anthracycline (ddAC) and paclitaxel.
29. The method of claim 28, comprising administering ddAC every 2 weeks for 4 cycles (q2w x 4) followed by FDC every 3 weeks for 4 cycles (q3w x 4) in combination with paclitaxel every week for 12 weeks (qw x 12).
30. The method of any one of claims 24 to 27, wherein the chemotherapy comprises anthracycline and cyclophosphamide (AC) and docetaxel.
31. The method of claim 30, comprising administering AC every 3 weeks for 4 cycles (q3w x 4) followed by FDC every 3 weeks for 4 cycles (q3w x 4) in combination with docetaxel (75 mg/m esclated to 100 mg/m if the initial dose is well tolerated) every 3 weeks for cycles (q3w x 4).
32. The method of any one of claims 24 to 31, comprising administering FDC to the patient following surgery q3w for about 1 year (up to 18 cycles).
33. The method of any one of claims 24 to 32, wherein the patient has hormone receptor-negative cancer.
34. The method of any one of claims 24 to 33, wherein the patient has stage II-IIIA cancer.
35. The method of any one of claims 24 to 34, wherein the patient has node-positive cancer.
36. The method of any one of claims 24 to 35, wherein the cancer is HER2-positive, locally advanced, inflammatory, or early stage breast cancer (either greater than 2 cm in diameter or node positive).
37. A method of treating a HER2-positive cancer patient to whom trastuzumab and pertuzumab has been previously administered intravenously comprising: a. administering a fixed dose combination (FDC) comprising 600 mg of pertuzumab and 600 mg of trastuzumab, wherein the patient received previous intravenous pertuzumab and trastuzumab < 6 weeks earlier; or Attorney Docket No. P36105-WO b. administering a fixed dose combination (FDC) comprising 1200 mg of pertuzumab and 600 mg of trastuzumab, wherein the patient received previous intravenous pertuzumab and trastuzumab ≥ 6 weeks earlier.
38. A fixed dose combination (FDC) of pertuzumab, trastuzumab, and recombinant human hyaluronidase (rHuPH20) for use in a method of treating HER2-positive cancer in a patient, wherein the method comprises administering a loading dose of said combination by subcutaneous injection in a thigh of the patient with a subcutaneous administration device at a rate of about 2 mL/min over about 8 minutes.
IL299376A 2020-06-29 2020-09-11 Pertuzuniab plus trastuzumab fixed dose combination IL299376A (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US202063045712P 2020-06-29 2020-06-29
US202063065795P 2020-08-14 2020-08-14
PCT/US2020/050363 WO2022005499A1 (en) 2020-06-29 2020-09-11 Pertuzumab plus trastuzumab fixed dose combination

Publications (1)

Publication Number Publication Date
IL299376A true IL299376A (en) 2023-02-01

Family

ID=72659343

Family Applications (1)

Application Number Title Priority Date Filing Date
IL299376A IL299376A (en) 2020-06-29 2020-09-11 Pertuzuniab plus trastuzumab fixed dose combination

Country Status (11)

Country Link
US (2) US12252549B2 (en)
EP (1) EP4171748A1 (en)
JP (1) JP2023532122A (en)
KR (2) KR20230030621A (en)
CN (1) CN115916834A (en)
AU (1) AU2020456731A1 (en)
BR (1) BR112022026888A2 (en)
CA (1) CA3185613A1 (en)
IL (1) IL299376A (en)
MX (1) MX2022015884A (en)
WO (1) WO2022005499A1 (en)

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